Psychology has a complex history with lesbian, gay, bisexual, and transgender (LGBT) people. Substantial shifts in stance, rhetoric, and research over the decades have influenced the greater societal view of LGBT people. While a noticeable cultural shift is occurring in America toward acceptance of LGBT people, some continue to argue that samesex relationships are not healthy. Evangelical Christians, those who hold a high respect for the authority of the Bible and support nearly literal readings of its teachings, generally support such a position (Sullivan-Blum 2009). There is strain among evangelicals regarding what it means to live faithfully and to engage LGBT people, which becomes increasingly complex as evangelicals who identify as sexual minorities speak up and share their stories. Historically, a delayed time trend can be seen in responses to homosexuality among evangelical Christians. A content and tonal analysis was conducted of 53 peer-reviewed articles found in Pastoral Psychology, which were categorized as non-affirming, neutral/exploratory, or affirming. This analysis revealed a notable trend over the last 65 years toward more open and inclusive dialogue surrounding LGBT people, even when more traditional stances were being held. Tracing the views toward homosexuality in psychology and society allows for a more complex understanding of the current tensions among American evangelical Christians.